Provider Demographics
NPI:1467268375
Name:DARE TO HEAL THERAPY LLC
Entity type:Organization
Organization Name:DARE TO HEAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:REBECCA
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:636-578-6326
Mailing Address - Street 1:1053 CAVE SPRINGS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-6435
Mailing Address - Country:US
Mailing Address - Phone:636-262-6501
Mailing Address - Fax:314-970-1901
Practice Address - Street 1:1053 CAVE SPRINGS RD STE 203
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-6435
Practice Address - Country:US
Practice Address - Phone:636-262-6501
Practice Address - Fax:314-970-1901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-05
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty